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BTK inhibitors synergise with 5-FU to treat drug-resistant TP53-null colon cancers
Journal article   Open access   Peer reviewed

BTK inhibitors synergise with 5-FU to treat drug-resistant TP53-null colon cancers

Marialuisa Lavitrano, Leonarda Ianzano, Sara Bonomo, Annamaria Cialdella, Maria Grazia Cerrito, Fabio Pisano, Carola Missaglia, Roberto Giovannoni, Gabriele Romano, Chelsea M. McLean, …
The Journal of pathology, v 250(2), pp 134-147
01 Feb 2020
PMID: 31518438
url
http://hdl.handle.net/11568/1005280View
Published, Version of Record (VoR)Open Access (License Unspecified) Open
url
https://doi.org/10.1002/path.5347View
Published, Version of Record (VoR) Open

Abstract

Life Sciences & Biomedicine Science & Technology Oncology Pathology
Colorectal cancer (CRC) is the fourth cause of death from cancer worldwide mainly due to the high incidence of drug-resistance. During a screen for new actionable targets in drug-resistant tumours we recently identified p65BTK - a novel oncogenic isoform of Bruton's tyrosine kinase. Studying three different cohorts of patients here we show that p65BTK expression correlates with histotype and cancer progression. Using drug-resistant TP53-null colon cancer cells as a model we demonstrated that p65BTK silencing or chemical inhibition overcame the 5-fluorouracil resistance of CRC cell lines and patient-derived organoids and significantly reduced the growth of xenografted tumours. Mechanistically, we show that blocking p65BTK in drug-resistant cells abolished a 5-FU-elicited TGFB1 protective response and triggered E2F-dependent apoptosis. Taken together, our data demonstrated that targeting p65BTK restores the apoptotic response to chemotherapy of drug-resistant CRCs and gives a proof-of-concept for suggesting the use of BTK inhibitors in combination with 5-FU as a novel therapeutic approach in CRC patients. (c) 2019 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Oncology
Pathology
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